| NPI | 1932491032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201391419NP-PP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200840127RN) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-04-18 |