NPI | 1346301918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OR 200150136NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 080039641RN) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-11-23 |