| NPI | 1922578301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201804517NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804517NP-PP) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-02-04 |