| NPI | 1811514961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202010826NP-PP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 202010826NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24068) | |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2025-04-01 |