| NPI | 1811470149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201809592NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F09180488) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-02-17 |