NPI | 1013371707 |
---|---|
Former Name | KOURTNEY L HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201603492NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201602244rn) |
367A00000X Advanced Practice Midwife (Licence: OR 201603492NP-PP) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-06-06 |