| NPI | 1265445738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200050094NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 200050093NP) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-09-05 |