| NPI | 1053614669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201350045NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 136800) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201340628RN) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15460) | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2021-12-29 |