NPI | 1073246591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 209348) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK R0120957) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2022-11-01 |