| NPI | 1235546607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201810182NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 105604) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-06-02 |