| NPI | 1154729135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA a142312) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 82169) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 82169) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-11-01 |