| NPI | 1083068589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 201805071NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201805071NP-PP) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2026-05-07 |