| NPI | 1982219697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 200085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 115206) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-11-08 |