NPI | 1225466006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61547725) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9234000) |
Enumeration Date | 2013-10-14 |
Last Update Date | 2024-05-21 |