NPI | 1558577569 |
---|---|
Former Name | NANCY LOOMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |