NPI | 1285335448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61385586) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61385586) |
363L00000X Nurse Practitioner (Licence: WA AP61385586) | |
Enumeration Date | 2023-03-14 |
Last Update Date | 2024-08-07 |