| NPI | 1649528993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201250171NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201142325RN) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2014-12-05 |