| NPI | 1750416574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200250140NP) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OR 000040903rn) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-04-19 |