| NPI | 1225368368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 2008006015) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 2008006016) |
| 363L00000X Nurse Practitioner (Licence: OR 201050005NP) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2015-12-28 |