| NPI | 1992339808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 0095443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0095443) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OK 20163886) | |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2022-07-11 |