| NPI | 1902133176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950164NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200542401RN) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2021-03-24 |