| NPI | 1265154264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201910882NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201910074RN) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-08-06 |