| NPI | 1134512072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201501505NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201240084RN) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-04-26 |