| NPI | 1154602902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201607730NP-PP) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OR 077038966RN) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2021-01-15 |