| NPI | 1861000309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10000925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202010323RN) |
| 163W00000X Registered Nurse (Licence: CO RN.1644253) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-10-31 |