| NPI | 1902860570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200340645RN) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2023-09-25 |