| NPI | 1881087245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201500076NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 20150076NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201500076NP-PP) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-10-25 |