| NPI | 1437506680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 102275) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OK 102275) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 102275) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2018-08-21 |