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 |