| NPI | 1609379056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0094303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 94303) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2021-10-15 |