| NPI | 1558583088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201706907NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN 9178702) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-09-10 |