| NPI | 1790889939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: OR 00037409) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: OR 00037409) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-09 |