| NPI | 1255115564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10029361) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OR 200441269RN) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-07-11 |