| NPI | 1922873330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10049425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201805042RN) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-09-18 |