| NPI | 1790349884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202208005NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201403013RN) |
| 163WC0400X Registered Nurse, Case Management (Licence: OR 201403013RN) | |
| 163WC1500X Registered Nurse, Community Health (Licence: OR 201403013RN) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-09-06 |