| NPI | 1891330288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908140NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201908140NP-PP) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2020-05-05 |