| NPI | 1174163356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202000441NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202000441NP-PP) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-07-22 |