| NPI | 1942998612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10004407) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10004407) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95021689) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-02-02 |