NPI | 1073987400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60627257) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00177330) |
Enumeration Date | 2015-11-23 |
Last Update Date | 2016-10-08 |