NPI | 1003970856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007900) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 200650026NP ACNP-PP) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-03-07 |