| NPI | 1457852378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804577NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 4860467-4405) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-11-11 |