NPI | 1538753322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10043286) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: OR 201242553RN) |
Enumeration Date | 2021-02-23 |
Last Update Date | 2025-05-19 |