| NPI | 1497472906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10020363) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201404493RN) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-01-31 |