| NPI | 1033658539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201704010NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201706386NP-PP) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2018-09-17 |