| NPI | 1558782318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201807883NP-PP) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201394698NP-PP) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2023-12-07 |