| NPI | 1972257798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 206869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0113151) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-09-26 |