| NPI | 1548651029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201900778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201900710) |
| 163W00000X Registered Nurse (Licence: CA 705588) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008389) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-03-19 |