| NPI | 1649994286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10000624) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR F09221179) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-03-05 |