| NPI | 1447296397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200050103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200040286) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-11-11 |