| NPI | 1992229439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201807061NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 096000266RN) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-08-21 |