| NPI | 1629597778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202005498NP-PP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 2457659) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2024-04-11 |