| NPI | 1316101736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0050468) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013044839) |
| 163W00000X Registered Nurse (Licence: MO 2013042256) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-01-03 |