NPI | 1528636156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202208494NP-PP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202208494NP-PP) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2023-10-12 |