| NPI | 1801221692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201708926NP-PP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 201341084RN) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2018-03-17 |