| NPI | 1558413856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950014NP FNP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 098006876RN RN) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-03-07 |