NPI | 1275963282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-102645) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60696763) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2022-07-21 |