| 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 |