| NPI | 1487352472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10019910) |
| 163W00000X Registered Nurse (Licence: NM 53798) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10019910) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2026-07-29 |