| NPI | 1124962592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 228041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0088137) |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |