| NPI | 1780849380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 82425) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: OK R0082425) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-04-21 |