NPI | 1124571799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60692362) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202113741NP-PP) |
163W00000X Registered Nurse (Licence: WA RN00133895) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2025-02-21 |