| NPI | 1104144427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201502927NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201502926RN) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-04-22 |