| NPI | 1952916645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0116063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 116063) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-12-01 |