| NPI | 1265004204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OR 202108495NP-PP) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: OR 202105265RN) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2024-06-26 |