| NPI | 1750504197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 45047) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 1773913) |
| 363L00000X Nurse Practitioner (Licence: KS 45047) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-03-07 |