| NPI | 1174038491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: OR 201807431NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 634693) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 634693) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-01-11 |