| NPI | 1710294889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 082010575n5) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 082010575N5) |
| 367A00000X Advanced Practice Midwife (Licence: OR 082010575N5) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2023-03-27 |