| NPI | 1386002038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202100125NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201509139RN) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2023-06-07 |