NPI | 1427530401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0089104) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 2018018411) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OK 2018018404) | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-05-08 |