NPI | 1033481478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61515005) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61515005) |
363LF0000X Nurse Practitioner, Family (Licence: TN 25284) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0001215224) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024169874) | |
Enumeration Date | 2012-02-01 |
Last Update Date | 2024-06-12 |