| NPI | 1881641397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350104NP) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR 20035010NP-FNP-PP) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-06-01 |