| NPI | 1003291147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201707978NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9296007) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201707978NP-PP) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-05-24 |