| NPI | 1700484136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202208554NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015101) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2025-11-21 |