| NPI | 1275535221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10047064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10047064) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 3370) | |
| 163W00000X Registered Nurse (Licence: CA 351807) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2025-10-02 |