| NPI | 1447865464 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202009553NP-PP) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201604950RN) | 
| Enumeration Date | 2020-09-15 | 
| Last Update Date | 2021-03-25 |