| NPI | 1487262077 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202209730NP-PP)  | 
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OR 201704218RN)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202209730NP-PP)  | |
| Enumeration Date | 2020-07-20 | 
| Last Update Date | 2023-01-25 |