| NPI | 1356744247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10030449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201402762RN) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2025-03-20 |