| NPI | 1427066976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200540047RN) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200550020NP) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-02-03 |