| NPI | 1346871662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10028023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10028023) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2025-02-17 |