NPI | 1063727881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60165066) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1019) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2020-07-05 |