NPI | 1033757067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61025817) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP610225817) |
Enumeration Date | 2019-12-20 |
Last Update Date | 2023-06-06 |