NPI | 1114454865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60759987) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60297560) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2017-05-12 |