| NPI | 1053836825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201706154NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201706154NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201706154NP-PP) | |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2024-08-21 |