NPI | 1881244473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 89100) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 89100) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OK 89100) | |
Enumeration Date | 2019-09-16 |
Last Update Date | 2024-09-23 |