| NPI | 1265048151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10022327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015358) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-12-02 |