NPI | 1790023778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0092329) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 92329) |
Enumeration Date | 2013-01-25 |
Last Update Date | 2024-07-09 |