NPI | 1235167420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30004754) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP30004754) |
363L00000X Nurse Practitioner (Licence: WA AP30004754) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2013-05-20 |