| NPI | 1932392107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200850106NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 089003393RN) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2022-02-23 |