| NPI | 1073053351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201605242RN) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-07-15 |