| NPI | 1811514961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 202010826NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24068) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2024-07-17 |