| NPI | 1134742539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202007508NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202007508NP-PP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431732) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-01-15 |