| NPI | 1962971796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202001351NP-PP) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 201506695RN) |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2020-05-05 |