| NPI | 1881757540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200950104NP) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00942) |
| 175F00000X Naturopath (Licence: OR 1423) | |
| 163W00000X Registered Nurse (Licence: OR 200743309RN) | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2017-03-31 |