NPI | 1558873547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202214761NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201608252RN) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2022-10-19 |