NPI | 1871927301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201406741NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 102503) |
225700000X Massage Therapist (Licence: OR LMT-24292) | |
363LF0000X Nurse Practitioner, Family (Licence: CT 005540) | |
Enumeration Date | 2013-09-03 |
Last Update Date | 2021-04-27 |