| NPI | 1609247972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201804756NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201804756NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP129328) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2025-08-15 |