NPI | 1437229366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 200450118NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 097000368RN) |
363LF0000X Nurse Practitioner, Family (Licence: OR 200450118NP) | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2022-07-21 |