| NPI | 1750997441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10049089APRN-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019901) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2025-12-08 |