| NPI | 1710351341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201905021NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9268138) |
| 163W00000X Registered Nurse (Licence: FL RN9268138) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201905021NP-PP) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-10-27 |