| NPI | 1104578418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 215536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0136311) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-03-22 |