NPI | 1235307737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60462750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1277) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2024-03-27 |