NPI | 1184021610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61104257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1127) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2021-04-21 |