NPI | 1043865421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61194717) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN60656201) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2024-02-06 |