| NPI | 1306223573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201605315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 20163827) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-01-10 |