| NPI | 1700017167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150032NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 092000304RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201150032NP) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2021-06-30 |