| NPI | 1932091881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201391294RN) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10058245) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2026-05-20 |