| NPI | 1225730229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10005848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201041547RN) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10005848) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10005848) | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-08-02 |