| NPI | 1528372489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050136NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201042069RN) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2014-02-14 |