| NPI | 1205453990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0107613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 107613) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-07-22 |