| NPI | 1508087545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200350100NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 082010198RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 082010198N7) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-07-03 |