| NPI | 1699438770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10029961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200241886RN) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-09-03 |