| NPI | 1295245108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201800261NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9378600) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-04-09 |