| NPI | 1639677974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201803719NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9364939) |
| 163W00000X Registered Nurse (Licence: NC 300913) | |
| 163W00000X Registered Nurse (Licence: OR 201802393RN) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-04-28 |