| NPI | 1699764001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 00003104 9 RN) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 000031049N7) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |