| NPI | 1457605958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201503413NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5118) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2021-10-16 |