| NPI | 1609172006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 201150145NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201150145NP) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201150145NP) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201809639NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201150145NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 336624) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2021-03-11 |