| NPI | 1043832041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202204512NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE pending) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-07-08 |