| NPI | 1881739332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202114554NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 5053831-4405) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-01-20 |