| NPI | 1417339110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 72027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002049) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10001014) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-04-11 |