| NPI | 1720754567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202111129NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200140842RN) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-08-24 |