NPI | 1184922080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9241374) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61210616) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61210616) | |
363L00000X Nurse Practitioner (Licence: FL ARNP9241374) | |
Enumeration Date | 2011-03-02 |
Last Update Date | 2025-05-06 |