| NPI | 1225437734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201408083NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200641338RN) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201408083NP-PP) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2017-01-11 |