| NPI | 1508905951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 081036007rn) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OR 081036007RN) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-07-14 |