NPI | 1124101555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60746642) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP003094B) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2019-12-16 |