NPI | 1013569524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 59822) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 59822) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 59822) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OK 59822) | |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-12-23 |