| NPI | 1255363750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 092006979N7) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 092006979RN) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-04-05 |