| NPI | 1619423886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201905155NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 41949.1830) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004956) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-07-20 |