| NPI | 1548939218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202110251NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202100949RN) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-10-02 |