NPI | 1124527809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61271257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201900882NP-PP) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2024-02-15 |