| NPI | 1699466524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 10011109) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 10011109) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-08-02 |