| NPI | 1639951288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 215446) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: OK 0099399) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-06-01 |