| NPI | 1548534621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 50156) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OR 40575) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: OR 40575) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OR 40575) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 50156) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 50156) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 50156) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |