| NPI | 1336477157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150137) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200150137) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2014-05-13 |