NPI | 1194376293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202102920NP-PP) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 8424) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202102920NP-PP) | |
Enumeration Date | 2019-09-20 |
Last Update Date | 2023-10-16 |