| NPI | 1013361617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 104730) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 104730) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 104730) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-02-21 |