| NPI | 1023576659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201902328NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201400803RN) |
| 363L00000X Nurse Practitioner (Licence: OR 201902328NP-PP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201902328NP-PP) | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2022-02-04 |