| NPI | 1801857792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 092006862N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 092006862) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2024-10-07 |