| NPI | 1912424243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 118316) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-77543-021) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 118316) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-77543-021) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-05-08 |