NPI | 1275567695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0024436) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0024436) |
363LF0000X Nurse Practitioner, Family (Licence: OK R0024436) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2012-04-26 |