| NPI | 1831795996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202101519NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202101519NP-PP) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2026-06-10 |