| NPI | 1003314766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201803718NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200541213RN) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-11-13 |