| NPI | 1003225525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201506662NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A125704) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2022-09-09 |