| NPI | 1841803616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202011044NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A160511) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-10-26 |