| NPI | 1891099248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250014NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200743524RN) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2012-11-02 |