| NPI | 1235783325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 99350) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 99350) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2023-09-08 |