| NPI | 1043954514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR F07240869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202110989RN) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-08-29 |