| NPI | 1801279245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 202107303NP-PP) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OR 2009041010RN) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2025-08-06 |