| NPI | 1710617089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202111760NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 202111760NP-PP) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-01-27 |