| NPI | 1104324615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0092616) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 92616) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2025-05-22 |