NPI | 1720614373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 113676) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 113676) |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-08-04 |