| NPI | 1417349275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 86574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 792822) |
| 363L00000X Nurse Practitioner (Licence: OK 86574) | |
| 363L00000X Nurse Practitioner (Licence: TX AP127645) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 86574) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2020-10-27 |