| NPI | 1407103286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403003NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201400528RN) |
| 363L00000X Nurse Practitioner (Licence: NV APN001411) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201400533NP-PP) | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2014-06-02 |