| NPI | 1427355163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250149NP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200841177RN) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2021-12-07 |