| NPI | 1104102961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 81057) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK r0081057) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2014-10-16 |