| NPI | 1437396033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702033np-pp) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201702033NP) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2022-11-21 |