| NPI | 1982388278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 220732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-194771) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-12-04 |