| NPI | 1942918149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10047531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202215573RN) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-09-22 |