NPI | 1003332974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60793184) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60793184) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2022-12-20 |