| NPI | 1366786261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201403204NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201403204NP-PP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6527571-4405) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-08-27 |