| NPI | 1528190956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 097006958N7) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 097006958RN) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-01-19 |