| NPI | 1194356006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202213227NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0995301) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202213227) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-03-03 |