NPI | 1417136938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200550135NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550135NP) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2017-11-06 |