NPI | 1215653365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 70033208-NP) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN61347402) |
Enumeration Date | 2022-10-19 |
Last Update Date | 2025-07-31 |