| NPI | 1427537844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201907387NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201907387NP-PP) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-11-02 |