NPI | 1467190603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 208781) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0101330) |
Enumeration Date | 2022-05-26 |
Last Update Date | 2024-01-29 |