| NPI | 1679857551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OR 201808242NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201807254RN) |
| 163W00000X Registered Nurse (Licence: NC 258238) | |
| 163W00000X Registered Nurse (Licence: NY 644642) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5009948) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2022-07-21 |