| NPI | 1861009060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10002913) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 200540731RN) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-01-05 |