| NPI | 1194234435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201907269NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201904962RN) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-11-09 |