| NPI | 1538357587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200850145NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 110927) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2012-09-04 |