NPI | 1952773764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202108974NP-PP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201341076RN) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202108974NP-PP) | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2024-01-22 |