| NPI | 1538753322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10043286) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: OR 201242553RN) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-05-19 |