NPI | 1295186203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016021963) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 78872) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OK 78872) | |
Enumeration Date | 2016-06-30 |
Last Update Date | 2021-10-25 |