| NPI | 1447268933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30002569) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201710432) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201710433) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-01-10 |