| NPI | 1962671412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201408658NP-PP) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 546766) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2016-06-23 |