| NPI | 1023359213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201404308NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 196045) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006112) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2020-10-02 |