| NPI | 1164491148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 000037597N3) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000037597N3) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-10-31 |