NPI | 1215485321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60692867) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60682236) |
363LF0000X Nurse Practitioner Family (Licence: TX AP131986) | |
Enumeration Date | 2016-09-17 |
Last Update Date | 2017-02-13 |