| NPI | 1154458370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201506666NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201506666NP-PP) |
| 363L00000X Nurse Practitioner (Licence: CA 15377) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201506666NP-PP) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-09-04 |