| NPI | 1457012791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202206690NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202206690NP-PP) |
| 363L00000X Nurse Practitioner (Licence: OR 202206690NP-PP) | |
| 163W00000X Registered Nurse (Licence: OR 201504283RN) | |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2024-10-25 |