NPI | 1659871044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 220304) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OK 0108815) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2024-10-31 |