NPI | 1073018487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0095326) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OK 95326) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-10-20 |