| NPI | 1710788823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10042914) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 202111244RN) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-30 |