| NPI | 1982009643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201407291NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001259) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201407291) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OR 201407292) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4190) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2018-02-28 |