NPI | 1831652965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 105697) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0105697) |
Enumeration Date | 2019-04-06 |
Last Update Date | 2022-04-18 |