| NPI | 1255080321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 72647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202204058RN) |
| 163W00000X Registered Nurse (Licence: ID 72647) | |
| 163W00000X Registered Nurse (Licence: OH RN.485483) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202207545NP-PP) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-05-25 |