| NPI | 1770045767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10036936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0121579) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OK R0121579) | |
| 363L00000X Nurse Practitioner (Licence: OK 200647) | |
| 363L00000X Nurse Practitioner (Licence: OR 10036936) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 200647) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-03-04 |