| NPI | 1245291756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 0940064921N1FNPPP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 094006492RN) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2007-10-04 |