| NPI | 1043314271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650112NP FNP-PP) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200150025NP NMNP-PP) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2013-04-09 |