| NPI | 1346048576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10040205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201503275RN) |
| 363L00000X Nurse Practitioner (Licence: OR 10040205) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-28 |