| NPI | 1275169229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10012856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201704955RN) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-03-22 |