| NPI | 1992125777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201402774NP-PP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200441082RN) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-05-16 |