| NPI | 1356143978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 222648) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OK R0121986) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-04-08 |