NPI | 1134612500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60863423) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60863423) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60863423) | |
Enumeration Date | 2018-06-11 |
Last Update Date | 2024-02-27 |