NPI | 1275084303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0096491) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 96491) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2024-05-06 |