| NPI | 1083644330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200950174NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NV APN00443) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-12-22 |