| NPI | 1578195087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202005873NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201910319RN) |
| 163W00000X Registered Nurse (Licence: NY 716193-1) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-10-11 |