| NPI | 1336892819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204978) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 204978) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 204978) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2024-10-17 |