NPI | 1063021137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61085962) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61085962) |
Enumeration Date | 2020-07-24 |
Last Update Date | 2022-01-25 |