| NPI | 1336136175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OK R0032267) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: OK R0032267) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2016-12-21 |