NPI | 1811623416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OR 202211862NP-PP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201341558RN) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202211862NP-PP) | |
Enumeration Date | 2022-07-26 |
Last Update Date | 2023-04-24 |