NPI | 1033710207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61093302) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61093302) |
163W00000X Registered Nurse (Licence: WA RN60759829) | |
Enumeration Date | 2020-11-04 |
Last Update Date | 2024-10-28 |