| NPI | 1689013864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10043723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201701846RN) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2026-05-28 |