| NPI | 1043395619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 000026282RN) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000026282N3 ANP-PP) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-09 |