| NPI | 1053813741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201800539NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201800539NP-PP) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-10-23 |