| NPI | 1740794072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202107394NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201392174RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201710045NP-PP) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2022-01-11 |