| NPI | 1477031912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201806498NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201804811RN) |
| 163W00000X Registered Nurse (Licence: OR 2018) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201806498NP-PP) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2021-03-18 |