| NPI | 1982035507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202215284NP) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OR 201391476RN) |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2023-07-06 |