| NPI | 1093114373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201407294NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-129780) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2021-10-13 |