| NPI | 1306460647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202109536NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10286389-3102) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-11-28 |