| NPI | 1649757436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202010387NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112556) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-12-14 |