| NPI | 1306129614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201908923NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R870610) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2024-12-18 |