NPI | 1255115564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10029361) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 200441269RN) |
363L00000X Nurse Practitioner (Licence: OR 10029361) | |
Enumeration Date | 2023-08-21 |
Last Update Date | 2025-08-11 |