| NPI | 1962930636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202101910NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006020) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2024-07-18 |