| NPI | 1831334077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10011585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 195316-4405) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2024-07-26 |