| NPI | 1336510635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202004567NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202004567NP-PP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H124117) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-04-28 |