NPI | 1558975151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202006124NP-PP) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 202006124NP-PP) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2023-08-14 |