| NPI | 1003455742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202100982NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95013410) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2025-04-16 |