NPI | 1942849617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 103896) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 103896) |
Enumeration Date | 2019-12-30 |
Last Update Date | 2020-02-27 |