NPI | 1174070213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60920634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001207-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: WA RN60920633) | |
363LF0000X Nurse Practitioner, Family (Licence: NM RN-85238) | |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03075) | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2022-08-18 |