| NPI | 1457967523 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1014423) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 222268) | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 222268) | |
| Enumeration Date | 2020-09-23 | 
| Last Update Date | 2025-08-04 |