NPI | 1235569278 |
---|---|
Former Name | NICOLE WEBBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201506515NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201041543RN) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2024-04-09 |