NPI | 1003314766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201803718NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200541213RN) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2023-01-19 |