| NPI | 1710782255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10041506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201605923RN) |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-08-26 |