NPI | 1164167680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 222458) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11010199530) |
Enumeration Date | 2022-04-29 |
Last Update Date | 2025-09-16 |