| NPI | 1508400169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10028559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201803203RN) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-07-11 |