| NPI | 1215300892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201704509NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005987A) |
| 163W00000X Registered Nurse (Licence: OR 201704507RN) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2026-02-10 |