| NPI | 1255976197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201910824NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201505336RN) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-12-05 |