| NPI | 1578980918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 090003344) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OR 090003344) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201809760NP) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-05-07 |