| NPI | 1902201957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 01810315NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 01810315NP-PP) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2022-04-27 |