| NPI | 1831104348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 080044582N0) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 080044582RN) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |