NPI | 1255976197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201910824NP-PP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201505336RN) |
Enumeration Date | 2019-11-14 |
Last Update Date | 2022-12-05 |