| NPI | 1336110535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 0038375N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 000038375N1 FNP-PP) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-09-09 |