| NPI | 1801255120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201505842NP-PP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201041816RN) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-01-10 |