| NPI | 1124508494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202003631NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107016) |
| 363L00000X Nurse Practitioner (Licence: OR 202003631) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95012139) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-01-08 |