| NPI | 1396574281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10031537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0085732) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-04-11 |