| NPI | 1891870622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850037NP FNP-PP) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: OR 200850037NP FNP-PP) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-10-28 |