| NPI | 1649693037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR F1013361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN727268) |
| 163W00000X Registered Nurse (Licence: NY 592944) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 200943239RN) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |