NPI | 1184237935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10015389) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 201142260RN) |
Enumeration Date | 2020-08-30 |
Last Update Date | 2023-10-09 |