| NPI | 1326239195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-126782) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: OR 099007632RN) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 200850014NP) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-05-10 |