NPI | 1215554068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202009555NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 237887) |
163W00000X Registered Nurse (Licence: OR 201700591RN) | |
Enumeration Date | 2020-06-28 |
Last Update Date | 2021-04-03 |