| NPI | 1073198347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10015568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95138382) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018254) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2026-10-07 |