| NPI | 1093476012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 206752) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK R0108424) |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-03-11 |