NPI | 1073275202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10031096) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10031096) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2024-08-12 |