| NPI | 1043925043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10006144) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: OR 200341601RN) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-03-29 |