| NPI | 1184237935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10015389) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 201142260RN) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2023-10-09 |