NPI | 1114435708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61087116) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0001469) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2021-02-10 |