| NPI | 1235291808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR 201505051NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201505051NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201505051NP-PP) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-08-17 |