| NPI | 1801306642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 96159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 96159) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 96159) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2024-01-10 |