| NPI | 1154619260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201391900NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201141805RN) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2024-06-25 |