| NPI | 1710622840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10001033) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: OR 201041838RN) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-05-13 |