| NPI | 1083167357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201605588NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 57418) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2022-04-19 |