| NPI | 1194343038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202005509NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202004609RN) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-01-10 |