| NPI | 1326230129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201508703NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 294755-4405) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2025-11-19 |