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 |