NPI | 1063733418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60692371) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8846) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2025-08-21 |