| NPI | 1265663058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 202102860NP-PP) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 181645) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN456541NP5830) | |
| 171100000X Acupuncturist (Licence: CA AC5147) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2022-02-07 |