| NPI | 1659093581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10000469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10000469) |
| 163WE0003X Registered Nurse, Emergency (Licence: UT 12013616-3102) | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-10-20 |