| NPI | 1801643721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10026514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202104238) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-08-14 |