| NPI | 1952052755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202214125NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202112104RN) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-10-07 |