| NPI | 1760710172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201400210NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15398) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 15398) | |
| 363L00000X Nurse Practitioner (Licence: OR 201400209RN) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2023-03-07 |