NPI | 1528478708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201404306NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200241794RN) |
163W00000X Registered Nurse (Licence: WA RN 60372206) | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-07-11 |