| NPI | 1770611121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10021635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 564141) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-01-30 |