| NPI | 1083276307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202009717NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012001) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-03-29 |