NPI | 1316345325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 62745) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: OK 62745) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2021-02-22 |