NPI | 1144640483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60470857) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00163653) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2023-08-09 |