| NPI | 1265710537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201601795NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2258506) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 2258506) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-11-09 |