| NPI | 1699820027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 200550148NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: OR 200350117NP) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-03-02 |