| NPI | 1760571079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 080045015) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OR 080045016N5) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-02-01 |