| NPI | 1427799568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10004228APRN-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201408507RN) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-10-25 |