| NPI | 1801467261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA N261191889) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202010835NP-PP) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-04-13 |