NPI | 1609076751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0056723) |
Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: OK 56723) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2017-08-04 |