NPI | 1164921367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 102288) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102288) |
Enumeration Date | 2018-02-03 |
Last Update Date | 2018-03-19 |