| NPI | 1639400997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050030NP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 201040007RN) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2017-03-22 |