| NPI | 1558049213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 214712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0117660) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 214712) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-12-19 |