| NPI | 1164053625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OK 206101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R106923) |
| 163W00000X Registered Nurse (Licence: OK 206101) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KS 53-81312-062) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2022020683) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-05-08 |