| NPI | 1043452865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 72117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 138312) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14066) | |
| 163W00000X Registered Nurse (Licence: OK 72117) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2017-02-27 |