NPI | 1053008128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 214844) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK R0102503) |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-08-27 |