| NPI | 1124370200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201393838NP-PP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 302393837RN) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2021-02-15 |