| NPI | 1174202485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 214262) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OK 214262) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2026-04-07 |