| NPI | 1295123933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201706907NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014043708) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2018-09-13 |