NPI | 1659955771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0120216) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0120216) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2025-07-14 |