NPI | 1083209514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61164250) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61164250) |
Enumeration Date | 2021-03-05 |
Last Update Date | 2024-03-21 |