| NPI | 1972548766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200450020NP) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: OR 200450020NP) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2026-03-26 |