| NPI | 1518976679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN233790) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250077NP) |
| 163W00000X Registered Nurse (Licence: OR 201241421RN) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-07-31 |