| NPI | 1285115881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202108562NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 157113) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-07-19 |