| NPI | 1669860979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201804760NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993810) |
| 364S00000X Clinical Nurse Specialist (Licence: OR 201804762CNS) | |
| 364S00000X Clinical Nurse Specialist (Licence: CO APN.0991563-CNS) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2021-09-13 |