| NPI | 1629487541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201141192RN) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201408799NP-PP) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-12-30 |