| NPI | 1548914146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10027094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019568) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-02-24 |