| NPI | 1952068017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202206429) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201240286RN) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2025-01-17 |