| NPI | 1336571629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250180NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201242749RN) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2021-08-16 |