| NPI | 1003582644 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 205023)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 205023)  | 
| Enumeration Date | 2021-08-23 | 
| Last Update Date | 2024-01-16 |