| NPI | 1306396296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR APRN-NP10043230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201505824RN) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-04-15 |