| NPI | 1275940728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403683NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201403683NP-PP) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-11-11 |