NPI | 1124640842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202006255NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61102830) |
Enumeration Date | 2020-05-15 |
Last Update Date | 2023-08-09 |