| NPI | 1619709441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10030186) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 10030186) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2026-04-01 |