| NPI | 1144981259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10023069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201701322RN) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2024-03-12 |