| NPI | 1124598057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10010749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201804725RN) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-07-06 |