| NPI | 1528756848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011435) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201808428RN) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-04-01 |