| NPI | 1346301918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OR 200150136NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 080039641RN) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-11-23 |