| NPI | 1154961621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 120401) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OK 120401) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-02-12 |