| NPI | 1831887975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10013171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201506413RN) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-08-11 |