NPI | 1043900210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61446610) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00104217) |
363L00000X Nurse Practitioner (Licence: WA AP61446610) | |
Enumeration Date | 2023-05-11 |
Last Update Date | 2023-09-29 |