| NPI | 1871927301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201406741NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102503) |
| 225700000X Massage Therapist (Licence: OR LMT-24292) | |
| 363LF0000X Nurse Practitioner Family (Licence: CT 005540) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-04-27 |