| NPI | 1558812867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201703018NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00678600) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00678600) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-04-06 |