| NPI | 1669691119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200050074NP) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: OR 200050074NP) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-08-23 |