| NPI | 1083246730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 2020003768NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200341669RN) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-05-20 |