| NPI | 1770331076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10029013) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-09-10 |