NPI | 1114406071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61005898) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61005898) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OR 20198703NP-PP) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201908703NP-PP) | |
Enumeration Date | 2018-08-11 |
Last Update Date | 2023-03-17 |