| NPI | 1639647449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: OR 201810088NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201810088NP-PP) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2025-05-21 |