NPI | 1902860570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013910) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200340645RN) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2023-09-25 |