| NPI | 1104693217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 220313) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1145673) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 220313) | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-12-18 |