| NPI | 1801384953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 100518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 100518) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 100518) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2021-01-07 |