NPI | 1285297598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0096629) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 96629) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2022-12-19 |