| NPI | 1619791621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10033601) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR 10033601) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10033601) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-03-04 |