| NPI | 1992350854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201906846NP-PP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 201906846NP-PP) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-06-21 |