| NPI | 1184298663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011568) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OR 201801087RN) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-07-18 |