| NPI | 1881940229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250152NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200241376RN) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-09-07 |