| NPI | 1861387961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10046048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201807527RN) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-09-10 |