NPI | 1174973036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2379351) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60667625) |
163W00000X Registered Nurse (Licence: WA RN60210603) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2023-09-20 |