NPI | 1083359608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61240718) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61240718) |
Enumeration Date | 2022-04-28 |
Last Update Date | 2022-07-20 |