NPI | 1063725547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 81703) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 81703) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2024-11-13 |