NPI | 1558857193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202009377NP-PP) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201042108) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2021-10-04 |