NPI | 1154334639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA WA AP30004828) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR OR 094000165N3) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-08 |