The Fresno County Coroner's Office has identified her as Maria Cruz of Reedley.
The crash happened just before 8 p.m. in the area of Springfield and Justine Avenues.
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Reedley police say Cruz was crossing the street with her walker when she was hit.
Officers say Cruz was not in the crosswalk.
She was rushed to a nearby hospital, where she later died.
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The driver pulled over after the accident and has been cooperating with officers.
Investigators say drugs or alcohol were not involved in the crash.