| NPI | 1134731193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1010454) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 221181) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 221181) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-08-04 |