NPI | 1417343229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201501919NP-PP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61064540) |
363LA2100X Nurse Practitioner Acute Care (Licence: OR 201501919NP-PP) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2023-04-26 |