| NPI | 1245808047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202204477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 097003008RN) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-04-20 |