| NPI | 1093233686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10035553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007029) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2026-07-21 |