| NPI | 1255531638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201250005NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 201142758RN) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OR 201250005NP) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 220) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-03-14 |