| NPI | 1457597072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050115NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 083038471RN) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2021-03-22 |