| NPI | 1194821751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650147NP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 095006655) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-10-13 |