| NPI | 1669981148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202002027NP-PP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201707776NP-PP) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |