| NPI | 1982298196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 201495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK F02210851) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2023-12-06 |