| NPI | 1710425871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201810425NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201809467RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A146213) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-03-15 |