| NPI | 1699499582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202212407NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 2022124070NP-PP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 2022124070NP-PP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 2022124070NP-PP) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-11-14 |