| NPI | 1881087245 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201500076NP-PP) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 20150076NP-PP) | 
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201500076NP-PP) | |
| Enumeration Date | 2015-03-10 | 
| Last Update Date | 2025-05-20 |