| NPI | 1558565028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200750037NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200750038NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5004166) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5004166) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-01-15 |