| NPI | 1417224544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201903668NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP011738) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-06-14 |