NPI | 1619325438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202212643NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201505008RN) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2022-08-19 |