| NPI | 1225339385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 75645) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OK 10880) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR A03567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 75645) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2020-09-01 |