| NPI | 1821003328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000028675N3) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000028675RN) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |