NPI | 1023557238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 095003033RN) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: OR 095003033RN) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |