| NPI | 1427653153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10038858) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10038858) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95015951) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95015951) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95015951) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10038858) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-10-16 |