| NPI | 1255853909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201909322NP-PP) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 200541452RN) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-12-14 |