| NPI | 1962980631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 105234) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 105234) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11239) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-06-19 |