NPI | 1376050989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709959NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61662423) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2025-03-06 |