| NPI | 1477216950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10034016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202112498) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10034016) | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-06-09 |