| NPI | 1487120358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201910216NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R201501) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-06-28 |