| NPI | 1295284032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0092970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 92970) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 92970) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-08-25 |