| NPI | 1114382678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0078411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 78411) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2024-02-01 |