| NPI | 1669133427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10031226) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 202008767RN) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-08-29 |