NPI | 1053823641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 089587-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60387390) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60800087) | |
Enumeration Date | 2017-11-03 |
Last Update Date | 2022-11-21 |