| NPI | 1437417482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150007NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201140186RN) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |