| NPI | 1609766054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10047405) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OR 096000478RN) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-08-25 |