NPI | 1285925677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60186251) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60096414) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2016-11-03 |