NPI | 1598095143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 77115) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 77115) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2021-09-28 |