| NPI | 1669704573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201392031NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60139039) |
| 163W00000X Registered Nurse (Licence: OR 201390611RN) | |
| 163W00000X Registered Nurse (Licence: WA RN60139014) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2015-07-31 |