| NPI | 1104832690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 079043389N0) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 079043389RN) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-19 |