| NPI | 1124564075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0100623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 100623) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0100623) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-11-25 |