NPI | 1821003328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000028675N3) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000028675RN) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |