| NPI | 1891268629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 85944) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 85994) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-26 |