| NPI | 1437824224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202201837NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248379) |
| 163W00000X Registered Nurse (Licence: OR 202201207RN) | |
| 363L00000X Nurse Practitioner (Licence: OR 202201837NP-PP) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-12-02 |