| NPI | 1710435821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 202004793NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024173853) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OR 202004793NP-PP) | |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2022-07-21 |