NPI | 1033561766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60688446) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN00159931) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2021-12-22 |