| NPI | 1699331371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 91043) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 91043) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 91043) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-12-07 |