| NPI | 1295275113 |
|---|---|
| Former Name | COURTNEY LANE NORDINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702901NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R041703) |
| 163W00000X Registered Nurse (Licence: OR 201701633RN) | |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-04-26 |