NPI | 1124687603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 82688) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 82688) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-11-27 |