NPI | 1225653512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0100572) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK R0100572) |
363LF0000X Nurse Practitioner, Family (Licence: OK 100572) | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2024-12-23 |