| NPI | 1851950372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202111916NP-PP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 201501124RN) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2021-10-27 |