| NPI | 1710277330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201393792NP-PP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200843137) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 108255) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2014-07-18 |