| NPI | 1558577569 |
|---|---|
| Former Name | NANCY LOOMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200650003NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OR 081001426) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-08-18 |