NPI | 1649528993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201250171NP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 201142325RN) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2014-12-05 |