| NPI | 1114452463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201910419NP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 20672) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-11-04 |