NPI | 1174223226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61566319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60072435) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2024-06-04 |