| NPI | 1548758709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201804989NP-PP) |
| 363L00000X Nurse Practitioner (Licence: OR 201803811RN) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-02-21 |