| NPI | 1346742236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201708231NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 10679786-4405) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-01-25 |