NPI | 1992138937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 39161) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 39161) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2024-05-08 |