| NPI | 1518419704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201809756NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009013) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2023-12-21 |