| NPI | 1164036547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202200121NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015721) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-04-16 |