| NPI | 1356828594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OK 109450) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 109450) |
| 364S00000X Clinical Nurse Specialist (Licence: OK 109450) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2025-07-08 |