| NPI | 1982040291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201350101NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350101NP) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-12-09 |