| NPI | 1285631648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200250183NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200250183) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-06-19 |