NPI | 1033760970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 109205) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R109205) |
363LF0000X Nurse Practitioner, Family (Licence: OK 109205) | |
Enumeration Date | 2019-09-23 |
Last Update Date | 2020-04-10 |