| NPI | 1649595638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150018-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 090006973RN) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2018-09-26 |