| NPI | 1285099267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201509500NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200841526RN) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-01-26 |