| NPI | 1871501304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 90003023N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 090003023N1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 090003023RN) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-01-08 |