| NPI | 1558873547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202214761NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201608252RN) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-10-19 |