NPI | 1205270121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61448673) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00131980) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2024-01-14 |