NPI | 1871175166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 206107) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0103974) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-12-06 |