NPI | 1124426978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 83605) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK 83605) |
Enumeration Date | 2014-12-10 |
Last Update Date | 2016-03-16 |