| NPI | 1356930051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10006599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018708) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2023-07-25 |