| NPI | 1346756269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201800768NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201600260RN) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2020-11-03 |