| NPI | 1417983974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 086000115N7 WHCNP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 086000115RN RN) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-06-29 |