NPI | 1013386259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0076909) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 76909) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2022-10-20 |