| NPI | 1396582573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007263) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10007263) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-10-28 |