| NPI | 1134780034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 118256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 118256) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2024-01-14 |