| NPI | 1487319299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202112441NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202112441NP) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-01-31 |