| NPI | 1699175638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201408661NP-PP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 201405467RN) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201408661NP-PP) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2020-11-10 |