| NPI | 1932175718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550073NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550073NP FNP PP) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-04-08 |