| NPI | 1407404668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 201904289NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 363LF0000X) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2020-04-14 |