| NPI | 1538775390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202008407NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 55712) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-01-14 |