| NPI | 1851747596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202000961NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-02899) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2020-04-28 |