| NPI | 1326583493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-142277) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 202011502NP-PP) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-05-17 |