| NPI | 1932982733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10055309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026350) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-03-23 |