| NPI | 1205872298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 080045949N1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 080045949RN) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-07-21 |