| NPI | 1689268260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202101745NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202201745np-pp) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202201745np-PP) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2022-03-25 |