| NPI | 1487844940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550052NP FNP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200540819RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9312155) | |
| 163W00000X Registered Nurse (Licence: AL 1-051629) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-02-22 |