| NPI | 1396001517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201404734NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201404734Np-PP) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2016-10-25 |