NPI | 1255713665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 57292) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 116684) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2019-09-12 |