| NPI | 1114165503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201605367NP-PP) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 097006495RN) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201605367NP-PP) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2021-02-15 |