| NPI | 1891237889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608321NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9494253) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-09-16 |