| NPI | 1023877636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10030013) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 201604360RN) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-01-20 |