| NPI | 1215374848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403802NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201402848RN) |
| 163W00000X Registered Nurse (Licence: CA 818327) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000717) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2015-03-20 |