NPI | 1073513453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 092000112RN) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 092000112N1) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2015-07-06 |