| NPI | 1962919431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804970NP-PP) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OR 098006565RN) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-09-25 |