| NPI | 1932756707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908142NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200840955RN) |
| 363L00000X Nurse Practitioner (Licence: OR 201908142NP-PP) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-09-27 |