NPI | 1255428207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 096007103RN) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 096007103N1) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2007-07-08 |