NPI | 1225320864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60491300) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60040811) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2020-12-09 |