| NPI | 1205362597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608996NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201808996NP-PP) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2022-04-05 |