NPI | 1538738331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207729) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK R0085642) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2022-06-15 |