| NPI | 1528390937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050019NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 087000076RN) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2013-09-16 |