| NPI | 1346854759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10003863) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 2103) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-04-19 |