| NPI | 1811756505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10022067) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 1002067) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-07-12 |