| NPI | 1255065330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202212418NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202201786RN) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202212418NP-PP) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-04-25 |