NPI | 1174254916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61585932) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61014048) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2024-07-22 |