NPI | 1497761001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 096007681N1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 096007681RN) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2011-12-28 |