| NPI | 1194336339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202009819NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID TEMP65467) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-08-28 |