| NPI | 1326112178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 089003099N3 ANP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 89003099N3) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-08-12 |