| NPI | 1043093206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 100500109) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-02-24 |