| NPI | 1952316465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 097006861RN) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350111NP) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-09-27 |