| NPI | 1023383759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OR 201250026NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250026NP) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2019-07-02 |