NPI | 1932694957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0086612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 86612) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-09-28 |