NPI | 1548284391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350059NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006540) |
363L00000X Nurse Practitioner (Licence: WA RN00150128) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200350059NP) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2013-05-03 |