| NPI | 1598182289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10016692) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10016692) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18522) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2024-04-19 |