NPI | 1255913133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61145804) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833365) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 256053) | |
Enumeration Date | 2021-04-21 |
Last Update Date | 2025-05-12 |