| NPI | 1821508037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 110829) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OK 110829) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OK 110829) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-08-20 |