| NPI | 1245717933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201809395NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201340409RN) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2019-01-02 |