NPI | 1801829361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350031NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200350031NP FNP-PP) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2020-11-10 |