| NPI | 1083073514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201600994NP-PP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201600994NP-PP) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2022-11-23 |