| NPI | 1679434971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10053261) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10053261) |
| 363L00000X Nurse Practitioner (Licence: OR 10053261) | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-05-08 |