NPI | 1134273212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 090006582N1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 090006582RN) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |