| NPI | 1174002976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201807115NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201807115NP-PP) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-01-29 |