NPI | 1811603079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10012143) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10012143) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2024-09-12 |