| NPI | 1295279404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702129NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV TAPRN701508) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2021-12-06 |