| NPI | 1134983802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10030452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 202008642RN) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-09-18 |