NPI | 1003539347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61356920) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60716639) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2022-10-20 |