| NPI | 1427324342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202007565NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 209213) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2025-07-29 |