| NPI | 1336595131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201604240NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201604241NP) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-04-20 |