| NPI | 1619546033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 205116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0116890) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-09-02 |