| NPI | 1992155386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 69333) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: OK 69333) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-08-26 |