| NPI | 1043386717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR O85072196) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: OR 085072196N1) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-12-28 |