| NPI | 1427073832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 080045920N1) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 080045920N7) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-05-28 |