| NPI | 1205258001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OK 93092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 93092) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2022-10-28 |