| NPI | 1972028249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0104700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 104700) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2026-02-24 |