| NPI | 1073403069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10046315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201406494RN) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-10-30 |