NPI | 1407951429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650101FNP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200642131RN) |
163W00000X Registered Nurse (Licence: CA 614930) | |
163WG0000X Registered Nurse, General Practice (Licence: WA FN00168990) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30007614) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 15528) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2021-12-29 |