| NPI | 1609881101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 089006048N0) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 089006048RN) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |