| NPI | 1992085310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202006374NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375433011) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2021-02-18 |