| NPI | 1700808706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050168NP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 099000698RN) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-05-13 |