| NPI | 1538622105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202009821NP-PP) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OR 200241616rn) |
| 363LS0200X Nurse Practitioner, School (Licence: OR 200241616rn) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-02-14 |