NPI | 1205438041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3503) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60577454) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61153353) | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2024-09-17 |