NPI | 1346601754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201800777NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0200907) |
163WG0000X Registered Nurse, General Practice (Licence: OR 201800605RN) | |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992575-NP) | |
Enumeration Date | 2016-03-11 |
Last Update Date | 2024-08-28 |