| NPI | 1396453205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10002086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202213884RN) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-01-11 |