NPI | 1053813741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201800539NP-PP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201800539NP-PP) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2018-10-23 |