NPI | 1548651029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201900778) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201900710) |
163W00000X Registered Nurse (Licence: CA 705588) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95008389) | |
Enumeration Date | 2015-02-05 |
Last Update Date | 2019-03-19 |