| NPI | 1982978722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK M0070626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 755622) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2025-08-04 |