| NPI | 1679523971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200650049NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 200640863RN) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-07-11 |