| NPI | 1386979482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202010084NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201709396RN) |
| 172M00000X Mechanotherapist (Licence: OR 15472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202010084NP-PP) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2023-02-14 |