NPI | 1104823699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005930) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00119013) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2007-11-14 |