| NPI | 1184441438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10033674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR F09241125) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-05 |