| NPI | 1952885659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201909240NP-PP) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR 200940055RN) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-08-22 |