NPI | 1194108340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA 60569242) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60569242) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA 60569242) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |