| NPI | 1699192138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201604379NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5529) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2025-10-22 |