NPI | 1205299666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268967) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00086323) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP 60653206) | |
Enumeration Date | 2016-04-03 |
Last Update Date | 2025-02-27 |