| NPI | 1851762587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201506046NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP151064) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-06-24 |