| NPI | 1174908131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608796np-pp) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: OR 201041940RN) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-11-17 |