| NPI | 1275159048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202007309NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 9517507) |
| 163W00000X Registered Nurse (Licence: OR 202004951RN) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-09-24 |