| NPI | 1508426248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10004728APRN-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9879) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 6761) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10004728) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-05-07 |