| NPI | 1275315343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10014732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 271919) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |