NPI | 1053088575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202111129NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201602008RN) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2022-09-14 |