| NPI | 1679055594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201806712NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 201806712NP-PP) |
| 363L00000X Nurse Practitioner (Licence: OR 201806712NP-PP) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-02-24 |