| NPI | 1205292703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201600268NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201600267RN) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2021-05-13 |