| NPI | 1598309387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202000541NP-PP) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201390291RN) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-07-02 |