| NPI | 1780662296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 086000066N3ANP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 086000066N3) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-06-10 |