| NPI | 1508897778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200450152NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200442251RN) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-08-08 |