NPI | 1124536388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0077656) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK 77656) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2021-11-01 |