| NPI | 1619513769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202008069NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013322) |
| 363L00000X Nurse Practitioner (Licence: OR 202008069NP-PP) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-10-27 |