| NPI | 1003303165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202213854NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A134262) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-01-19 |