| NPI | 1336895556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202201525NP) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: OR 202201525NP) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: OR 202201525NP-PP) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-06-14 |