NPI | 1255456596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 363) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 12042) |
163W00000X Registered Nurse (Licence: WA RN00161522) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30007146) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2013-04-24 |