| NPI | 1699154336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201601224NPPP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201601224NP) |
| 363LF0000X Nurse Practitioner Family (Licence: UT 273393-4405) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201601224NP-PP) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2022-10-24 |