NPI | 1477216950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10034016) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202112498) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-10-20 |
Last Update Date | 2024-12-04 |