| NPI | 1316952815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150080NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 080045607RN) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-02-10 |