| NPI | 1073971693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201909889NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP6068848) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60688448) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-07-21 |