| NPI | 1801592712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10018908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200740371RN) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-06-17 |