| NPI | 1609811371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 078040200N5) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201506291NP) |
| 176B00000X Midwife (Licence: OR 078040200N5) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-03-22 |