| NPI | 1063081669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 204528) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK 0110010) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 204528) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-07-29 |