| NPI | 1669200812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10018561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95192567) |
| 163W00000X Registered Nurse (Licence: OR 10018561) | |
| 363L00000X Nurse Practitioner (Licence: CA NP95028849) | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-27 |