NPI | 1730792409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10015449) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201402956RN) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-06-07 |