| NPI | 1437424348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201509044NP-PP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 200340925RN) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2016-03-20 |