| NPI | 1457735466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201601619NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201601005RN) |
| 163W00000X Registered Nurse (Licence: NY 686473-1) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-03-17 |