NPI | 1811696578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 220607) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0083188) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2024-10-25 |