| NPI | 1164162822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10034239) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95018411) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-12-09 |