| NPI | 1316163306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200450036NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 081000718N3) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |