NPI | 1184224479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61450747) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA 60098043) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2023-07-07 |