| NPI | 1235211087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 000030867N7 WHCNP PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 000030867RN) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-03-11 |