NPI | 1396319000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013317) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 201391784RN) |
Enumeration Date | 2021-05-17 |
Last Update Date | 2023-08-09 |