NPI | 1235897422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0109399) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 206108) |
Enumeration Date | 2021-12-04 |
Last Update Date | 2024-09-17 |