NPI | 1386137826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 107639) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 107639) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2019-10-08 |