| NPI | 1053955047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201907743NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201143042RN) |
| 163W00000X Registered Nurse (Licence: AK 33673) | |
| 163W00000X Registered Nurse (Licence: NV 828531) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201907743NP-PP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 828531) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-10-27 |