| NPI | 1477586097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 99006597) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 099006597N1) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-09-15 |