NPI | 1245782390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61468464) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9378924) |
363LF0000X Nurse Practitioner, Family (Licence: OR 202114868NP-PP) | |
Enumeration Date | 2016-10-25 |
Last Update Date | 2023-10-11 |